HCPCS L5620

Addition to lower extremity, test socket, below knee

Current codeBelow Knee Orthotic24 hospitals with prices

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Medicare Advantage: Rate for a private Medicare Advantage plan. Applies only to members of that plan.

Prices for HCPCS L5620 by hospital
HospitalMedicare Advantage rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27—$185$463
Deaconess Medical CenterSpokaneFile dated 2026-08-27—$185$463
Harborview Medical CenterSeattleFile dated 2026-04-01—$440 – $445$629 – $636
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27—$185$463
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27—$185$463
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27—$185$463
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27—$185$463
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27—$185$463
Seattle Children's HospitalSeattle—$1,156$1,156
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27—$185$463
University of Washington Medical CtrSeattleFile dated 2026-04-01—$623$890

Lowest and highest amounts each hospital lists for this code during a hospital stay, including lines it lists for both settings or without saying which. A doctor’s fee is shown separately when the hospital lists one with the code. “At least” means plans were counted in more than one group and some may be the same plan. This is one line of a bill; most care brings several.

Medicare (traditional) reference

Only for people on original Medicare. These are CMS’s 2026 amounts. They aren’t what private insurance or cash patients pay.

Equipment fee, Washington
$363 (fee)